Strauss MB
Undersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society, Inc. Date of publication 2022 Apr 1;volume 49(2):233-248.
1. Undersea Hyperb Med. 2022 Second Quarter;49(2):233-248.
The role of hyperbaric oxygen for acute traumatic ischemias.
Strauss MB(1).
Author information:
(1)Memorial Care Long Beach Memorial Medical Center, Long Beach, California U.S.
Acute traumatic ischemias are an array of disorders that range from crush
injuries to compartment syndromes, from burns to frostbite and from threatened
flaps to compromised reimplantations. Two unifying components common to these
conditions are a history of trauma be it physical, thermal, or surgical coupled
with ischemia to the traumatized tissues. Their pathophysiology resolves around
the self-perpetuating cycle of edema and ischemia, and their severity represents
a spectrum from mild, almost non-existent, to tissue death. Since ischemia is a
fundamental component of the traumatic ischemias and hypoxia is a consequence of
ischemia, hyperbaric oxygen is a logical intervention for those conditions where
tissue survival, infection control and healing is at risk. Unfortunately, even
with mechanisms of hyperbaric oxygen that strongly support its usefulness in
traumatic ischemias coupled with supportive clinical data, clinicians are
disinclined to utilize it for these conditions. This focuses on the orthopedic
aspects of the traumatic ischemias, namely crush injury and compartment
syndrome, and show how hyperbaric oxygen treatments can mitigate their severity.
Copyright© Undersea and Hyperbaric Medical Society.
PMID: 35580490 [Indexed for MEDLINE]
Conflict of interest statement: The author of this paper declares no conflicts
of interest exist with this submission.
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